Individual
JARED HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7272 GADSDEN HWY, SUITE 108, TRUSSVILLE, AL 35173-1687
(205) 655-7231
(205) 655-7232
Mailing address
6444 KATHY DR, PINSON, AL 35126-3114
(205) 516-5973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
750
AL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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